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目的了解某医院住院患者医院感染与社区感染状况,为加强医院感染管理提供依据。方法采用横断面调查方法,对兵团医院2010年8月20日24小时内所有住院患者医院感染发生率情况进行调查。结果调查当日该医院住院病人553例,实查544例,发生医院内感染病人10例、12例次,医院感染现患率为1.84%,例次感染率2.21%。发现社区获得感染131例、135例次,社区感染率24.08%、例次感染率24.82%。医院内感染患者主要集中在重症监护病房;感染部位以呼吸道为主,占50%;泌尿道感染占25%。结论该医院院内感染现患率较低,但住院病人社区获得感染较多,需要加强入院病人感染管理和诊断,及时采取防控措施。
Objective To understand the prevalence of nosocomial infections and community-acquired infections in hospitalized patients in a hospital and provide the basis for strengthening the management of nosocomial infections. Methods A cross-sectional investigation was conducted to investigate the incidence of nosocomial infections among all inpatients within 24 hours on August 20, 2010 in Corps Hospital. Results On the day of investigation, there were 553 hospitalized patients in our hospital, 544 cases were investigated, 10 cases of nosocomial infections occurred, 12 cases were found. The prevalence rate of nosocomial infection was 1.84% and the infection rate was 2.21%. 131 cases were found to be infected in the community, 135 cases were found, the community infection rate was 24.08%, and the infection rate was 24.82%. Patients with nosocomial infections are mainly concentrated in intensive care units; the main infection area is respiratory tract, which accounts for 50%; and urinary tract infections account for 25%. Conclusion The prevalence of nosocomial infections in this hospital is relatively low, but inpatients have more infections in the community. It is necessary to strengthen the management and diagnosis of infection in patients admitted to hospital and take timely prevention and control measures.